Burnout in dermatology residents: a Canadian perspective

Shoimer, Ilya; Patten, Scott B.; Mydlarski, P. Régine

doi:10.1111/bjd.15549

Cited by 21 publications

(16 citation statements)

References 7 publications

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“…Given the heterogeneity in burnout analysis methods between these studies and ours, comparability is limited. A study on dermatology residents in Canada28 demonstrated high DP rates of 51% and high EE rates of 54.2%, and a study on radiology residents in Canada demonstrated high EE prevalence of 50.7% and high DP prevalence of 48.6%,22 both using the MBI-HSS. These burnout rates are more comparable to our study, likely related to similar analysis methods, which again exhibit significantly higher burnout compared with US trainees.…”

Section: Discussionmentioning

confidence: 99%

Resident physician burnout: insights from a Canadian multispecialty survey

Ferguson

Low

Shiau

2020

Postgraduate Medical Journal

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BackgroundBurnout results from chronic exposure to stress: comprising emotional exhaustion (EE), depersonalisation (DP) and a reduced sense of personal achievement (PA). Only a few studies have examined burnout in Canadian residents, and no multispecialty studies using the Maslach Burnout Inventory-Health Sciences Survey (MBI-HSS) exist. The purpose of our study is to identify burnout prevalence, contributory factors and solutions.MethodsA prospective 62-item survey, including the 22-item MBI-HSS, was sent to all Alberta residents, with a resident population of 1745. The association between burnout, EE, DP and PA with items in the survey was performed. Continuous data were evaluated using Student’s t-test or analysis of variance. Ordinal data were evaluated using Spearman’s correlation coefficient and Mann-Whitney U test. Nominal data were evaluated using χ2 test.ResultsResponse rate was 41.1% (n=718), with burnout prevalence of 69.4%. 61.6% of residents demonstrated high EE, 47.8% high DP and 29.0% low PA. More hours worked, poor work–life balance, poor service-education balance, poor mental health support, experiencing intimidation/harassment and being unhappy with programme and with career choice were associated with higher burnout (p<0.001). 53.5% of residents experienced intimidation/harassment. Solutions to burnout included improved teaching, improved call/working hours, more wellness days and a change in medicine culture.ConclusionHigh prevalence of burnout in Canadian residents with contributory factors and solutions identified. We hope programmes across the world can use this information to improve the burden of burnout among residents.

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Section: Discussionmentioning

confidence: 99%

Resident physician burnout: insights from a Canadian multispecialty survey

Ferguson

Low

Shiau

2020

Postgraduate Medical Journal

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“…In 2017, results from a survey of 112 dermatology residents in Canada about burnout was published in the British Journal of Dermatology. 3 The numbers were staggering; the results showed that more than 50% of dermatology residents experienced high levels of emotional exhaustion and depersonalization, and 40% had low levels of personal accomplishment. Additionally, 52% experienced low or depressed mood, 20% reported feelings of hurting themselves within the last year, and more than 25% had high anxiety levels.…”

Section: Burnout In Dermatologymentioning

confidence: 98%

“…Additionally, 52% experienced low or depressed mood, 20% reported feelings of hurting themselves within the last year, and more than 25% had high anxiety levels. 3 Dermatology requires a high level of daily studying, which is a major source of stress for many dermatology residents. The survey of dermatology residents in Canada showed that the top stressor for 61% of survey respondents was studying, specifically for the board examination.…”

Section: Burnout In Dermatologymentioning

confidence: 99%

“…The survey of dermatology residents in Canada showed that the top stressor for 61% of survey respondents was studying, specifically for the board examination. 3 Dermatology is an academically rigorous specialty. We are responsible for recognizing every disease process affecting the skin, including hundreds that are extremely uncommon.…”

Section: Burnout In Dermatologymentioning

confidence: 99%

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Wellness for the Dermatology Resident

Shabeeb¹

2020

Cutis

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Resident wellness is an essential topic for residents across all medical and surgical specialties. Although dermatology is an outpatientbased specialty with few emergencies, burnout is still prevalent among dermatology residents. Stress related to studying is one of the most common causes, given the academically rigorous nature of dermatology. To treat burnout and to improve resident wellness, changes can be made to target 4 areas of well-being: professional, physical, psychological, and social.

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“…The overall score for PDs' satisfaction was calculated at 76%, slightly below our target value of 80%; this is explained in detail in Figure 23. This KPI was measured through the trainees' questionnaire and defined as the number of trainees who feel burnout [38][39][40][41][42][43][44][45][46][47][48][49] divided by the total number of surveyed trainees in that period of time. The target value was set at a level equal to/below 10%.…”

Section: Percentage Of Program Directorsmentioning

confidence: 99%

Evaluation of Key Performance Indicators (KPIs) for Sustainable Postgraduate Medical Training: An Opportunity for Implementing an Innovative Approach to Advance the Quality of Training Programs at the Saudi Commission for Health Specialties (SCFHS)

et al. 2020

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The Kingdom of Saudi Arabia is undergoing a major transformation in response to a revolutionary vision of 2030, given that healthcare reform is one of the top priorities. With the objective of improving healthcare and allied professional performance in the Kingdom to meet the international standards, the Saudi Commission for Health Specialties (SCFHS) has recently developed a strategic plan that focuses on expanding training programs’ capacity to align with the increasing demand for the country’s healthcare workforce, providing comprehensive quality assurance and control to ensure training programs uphold high quality standards, and providing advanced training programs benchmarked against international standards. In this research paper, we describe our attempt for developing a general framework for key performance indicators (KPIs) and the related metrics, with the aim of contributing to developing new strategies for better medical training compatible with the future. We present the results of a survey conducted in the Kingdom of Saudi Arabia (KSA), for the enhancement of quality of postgraduate medical training. The recent developments in the field of learning analytics present an opportunity for utilizing big data and artificial intelligence in the design and implementation of socio-technical systems with significant potential social impact. We summarize the key aspects of the Training Quality Assurance Initiative and suggest a new approach for designing a new data and services ecosystem for personalized health professionals training in the KSA. The study also contributes to the theoretical knowledge on the integration of sustainability and medical training and education by proposing a framework that can enhance future initiatives from various health organizations.

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Burnout in dermatology residents: a Canadian perspective

Cited by 21 publications

References 7 publications

Resident physician burnout: insights from a Canadian multispecialty survey

Resident physician burnout: insights from a Canadian multispecialty survey

Wellness for the Dermatology Resident

Evaluation of Key Performance Indicators (KPIs) for Sustainable Postgraduate Medical Training: An Opportunity for Implementing an Innovative Approach to Advance the Quality of Training Programs at the Saudi Commission for Health Specialties (SCFHS)

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